We live in a noisy world, with sounds that affect hearing all around us: traffic, machinery, and noisy groups of people. Then there’s the damage we do to our ears when we plug in headphones and jam to catchy tunes.

Our hearing is delicate and all this noise takes a toll. It’s no wonder that approximately 48 million people experience hearing loss in the U.S., making it one of the most prevalent health issues in the nation.

You don’t have to accept that you’ll lose your hearing. Here are four tips to safeguard your ears.

1. See a Doctor

Never treat hearing loss lightly. A blocked ear or an earache may be a sign of an infection. If you leave an ear infection untreated, it may result in permanent hearing loss. Any ringing in your ears that lasts longer than a short period of time is also a sign of hearing loss.

Have a discussion with your doctor about your hearing concerns before you start a medication. Ototoxic drugs may lead to hearing loss. In many cases, the benefit of the drug outweighs the risk of temporary or permanent hearing loss. Ototoxic drugs include:

gentamicin (an antibiotic)

cisplatin and carboplatin (chemotherapy drugs)

quinine (for malaria)

aspirin

loop diuretics

2. Keep It Down

Exposure to loud sounds will damage hearing. The hair cells in your ears turn sound into signals sent to the brain. If the noise is too loud, it damages the hairs, which never grow back. The National Institutes of Health say consistent exposure to sounds higher than 85 decibels can hurt hearing. The average conversation is 60 decibels, so 85 isn’t earth-shakingly loud. In fact, it’s about the same as heavy traffic in a city.

Since you can’t stay at home all day in the sound of silence, what can you do to protect your ears?

Turn down the sound: One thing my mom taught me was to turn the volume down to zero then slowing turn it up, making lower volumes sound louder.

Limit exposure to loud sounds and machinery.

3. Wear Protection

There are many people whose livelihoods depend on working with or around loud machines. Others live near noisy highways and relocating isn’t an option. If you can’t entirely avoid loud sounds, try wearing protective devices. Ear plugs, noise-canceling headphones, and ear muffs will protect your hearing.

4. Give Your Ears a Break

Pretty much everyone these days owns a smartphone. Listening to music, podcasts, books, and more via earbuds can be motivating or relaxing, but remember, it can damage your ear. Consider taking short breaks from the sound. When you’re using your headphones or earbuds, take regular 15-minute breaks.

Millions of people around the U.S. and world live with hearing impairment. Health problems, medications, and the noise all around us lead to that hearing loss. To protect your hearing, talk to your doctor, turn down the noise, use protection and give your ears a break.